A comparative discussion of incisional methods in total capsulectomy of the breast

Background Capsular contracture is a frequent complication of breast augmentation that constitutes one of the most common reasons for secondary operations. Capsular contracture is treated surgically, often with total capsulectomy. Therefore, in this study, we aimed to study correlations among intrao...

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Autores principales:	Tae Hyung Kim, Seok Min Yoon, Syeo Young Wee, Hyok Sue Oh, Hyun Gyo Jeong
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society for Aesthetic Plastic Surgery 2021
Materias:	breast contracture reoperation Surgery RD1-811
Acceso en línea:	https://doaj.org/article/a81aa5cb44164f92895c5a333b7440e3
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spelling	oai:doaj.org-article:a81aa5cb44164f92895c5a333b7440e32021-11-09T06:59:08ZA comparative discussion of incisional methods in total capsulectomy of the breast2234-08312288-933710.14730/aaps.2020.00087https://doaj.org/article/a81aa5cb44164f92895c5a333b7440e32021-10-01T00:00:00Zhttp://e-aaps.org/upload/pdf/aaps-2020-00087.pdfhttps://doaj.org/toc/2234-0831https://doaj.org/toc/2288-9337Background Capsular contracture is a frequent complication of breast augmentation that constitutes one of the most common reasons for secondary operations. Capsular contracture is treated surgically, often with total capsulectomy. Therefore, in this study, we aimed to study correlations among intraoperative observations, physical examination findings, and characteristics of the previous operation in patients with capsular contracture who underwent total capsulectomy. Methods A retrospective chart review was conducted for patients treated from May 2017 to April 2019, analyzing 24 breasts in 12 female patients. The patients were classified in terms of the Baker grade, incision type, implant type, and implant plane. During the operation, we evaluated the ease of dissection based on intraoperative features such as anterior and posterior wall dissection, bleeding tendency, and scar length. Statistical analysis was performed to identify association between variables Results The implant was changed in eight patients, while only explantation was performed in the remaining four patients. The ease of capsule dissection had a proportional correlation with the Baker grade (P=0.005). Intraoperative dissection was significantly easier in the inframammary fold (IMF) group than in the periareolar group (P=0.035). Conclusions An IMF incision is preferable for planning en bloc capsulectomy. However, for aesthetic concerns, a periareolar incision would be preferable. In addition, a lower Baker grade (grade I or II) was associated with easier dissection. Therefore, surgeons should choose the incision type depending on the necessity of performing en bloc capsulectomy, Baker grade, and scar length.Tae Hyung KimSeok Min YoonSyeo Young WeeHyok Sue OhHyun Gyo JeongKorean Society for Aesthetic Plastic SurgeryarticlebreastcontracturereoperationSurgeryRD1-811ENArchives of Aesthetic Plastic Surgery, Vol 27, Iss 4, Pp 117-124 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	breast contracture reoperation Surgery RD1-811
spellingShingle	breast contracture reoperation Surgery RD1-811 Tae Hyung Kim Seok Min Yoon Syeo Young Wee Hyok Sue Oh Hyun Gyo Jeong A comparative discussion of incisional methods in total capsulectomy of the breast
description	Background Capsular contracture is a frequent complication of breast augmentation that constitutes one of the most common reasons for secondary operations. Capsular contracture is treated surgically, often with total capsulectomy. Therefore, in this study, we aimed to study correlations among intraoperative observations, physical examination findings, and characteristics of the previous operation in patients with capsular contracture who underwent total capsulectomy. Methods A retrospective chart review was conducted for patients treated from May 2017 to April 2019, analyzing 24 breasts in 12 female patients. The patients were classified in terms of the Baker grade, incision type, implant type, and implant plane. During the operation, we evaluated the ease of dissection based on intraoperative features such as anterior and posterior wall dissection, bleeding tendency, and scar length. Statistical analysis was performed to identify association between variables Results The implant was changed in eight patients, while only explantation was performed in the remaining four patients. The ease of capsule dissection had a proportional correlation with the Baker grade (P=0.005). Intraoperative dissection was significantly easier in the inframammary fold (IMF) group than in the periareolar group (P=0.035). Conclusions An IMF incision is preferable for planning en bloc capsulectomy. However, for aesthetic concerns, a periareolar incision would be preferable. In addition, a lower Baker grade (grade I or II) was associated with easier dissection. Therefore, surgeons should choose the incision type depending on the necessity of performing en bloc capsulectomy, Baker grade, and scar length.
format	article
author	Tae Hyung Kim Seok Min Yoon Syeo Young Wee Hyok Sue Oh Hyun Gyo Jeong
author_facet	Tae Hyung Kim Seok Min Yoon Syeo Young Wee Hyok Sue Oh Hyun Gyo Jeong
author_sort	Tae Hyung Kim
title	A comparative discussion of incisional methods in total capsulectomy of the breast
title_short	A comparative discussion of incisional methods in total capsulectomy of the breast
title_full	A comparative discussion of incisional methods in total capsulectomy of the breast
title_fullStr	A comparative discussion of incisional methods in total capsulectomy of the breast
title_full_unstemmed	A comparative discussion of incisional methods in total capsulectomy of the breast
title_sort	comparative discussion of incisional methods in total capsulectomy of the breast
publisher	Korean Society for Aesthetic Plastic Surgery
publishDate	2021
url	https://doaj.org/article/a81aa5cb44164f92895c5a333b7440e3
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A comparative discussion of incisional methods in total capsulectomy of the breast

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